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Specialty: Geriatrics
Condition: Hemorrhagic Stroke

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Total 79 results found since Jan 2013.

Clinical characteristics of stroke occurring in the toilet: Are older adults more vulnerable?
ConclusionsThe toilet is a closed space where stroke occurs disproportionately frequently. Effort to reduce the incidence of toilet‐related strokes is warranted, as early patient detection is not always feasible. Geriatr Gerontol Int 2017; ••: ••–••.
Source: Geriatrics and Gerontology International - August 31, 2017 Category: Geriatrics Authors: Joji Inamasu, Kazuhiro Tomiyasu, Satoru Miyatake, Keita Mayanagi, Masami Yoshii, Masashi Nakatsukasa Tags: Original Article: Epidemiology, Clinical Practice and Health Source Type: research

Effect of New Oral Anticoagulants on Prescribing Practices for Atrial Fibrillation in Older Adults
ConclusionPrescription of anticoagulants for AF increased in older adults primarily because of an increase in the use of NOACs. Nonetheless, fewer than 45% of participants were prescribed an anticoagulant. Additional research is needed to optimize prescribing practices for older adults with AF.
Source: Journal of the American Geriatrics Society - August 21, 2017 Category: Geriatrics Authors: Raymond B. Fohtung, Eric Novak, Michael W. Rich Tags: Clinical Investigation Source Type: research

Comparison of the Mini ‐Mental State Examination and Montreal Cognitive Assessment executive subtests in detecting post‐stroke cognitive impairment
ConclusionsThe MoCA executive tasks are more sensitive in detecting executive dysfunction compared with the MMSE executive tasks. Geriatr Gerontol Int 2017; ••: ••–••.
Source: Geriatrics and Gerontology International - July 4, 2017 Category: Geriatrics Authors: Chen Fu, Xianglan Jin, Baoxin Chen, Feiran Xue, Huanmin Niu, Rongjuan Guo, Zhigang Chen, Hong Zheng, Le Wang, Yunling Zhang Tags: Original Article: Epidemiology, Clinical Practice and Health Source Type: research

Influence of Hospital Type on Outcomes of Individuals Aged 80 and Older with Stroke Treated Using Intravenous Thrombolysis
ConclusionOlder adults with acute stroke treated with IVT had similar outcomes regardless of hospital characteristics.
Source: Journal of the American Geriatrics Society - June 2, 2017 Category: Geriatrics Authors: Francisco Purroy, Ana Vena, David C ánovas, Pere Cardona, Dolores Cocho, Elisa Cuadrado‐Godia, Angel Chamorro, Antonio Dávalos, Moisés Garcés, Meritxell Gomis, Jerzy Krupinski, Ernest Palomeras, Marc Ribó, Jaume Roquer, Marta Rubiera, Jordi Sanahuj Tags: Clinical Investigation Source Type: research

Efficacy and Safety of Mechanical Thrombectomy in Older Adults with Acute Ischemic Stoke
ConclusionThese findings suggest that endovascular treatment for stroke in selected elderly adults could be safe and effective. Major determinants of outcome in this subgroup of elderly patients are presentation NIHSS score and 24‐hour clinical improvement.
Source: Journal of the American Geriatrics Society - April 19, 2017 Category: Geriatrics Authors: Fabrizio Sallustio, Giacomo Koch, Caterina Motta, Marina Diomedi, Fana Alemseged, Vittoria C. D'Agostino, Simone Napolitano, Domenico Sam à, Alessandro Davoli, Daniel Konda, Daniele Morosetti, Enrico Pampana, Roberto Floris, Roberto Gandini Tags: Clinical Investigation Source Type: research

Thrombolytic Treatment for Ischaemic Stroke: Could the Crisis of Confidence Have Been Avoided by Better Analysis of Trial Data?
AbstractIn many countries, thrombolysis with intravenous alteplase has become a central part of acute stroke care in recent years, requiring radical restructuring of services. However, a significant minority of emergency and stroke physicians have always had serious doubts about the safety and efficacy of thrombolytic treatment, and in 2015 these prompted a major review of the licensing status of alteplase by the UK regulatory authorities. Subsequent dramatic headlines and media stories have called into question the integrity of researchers and clinicians and undermined public faith in medical research. How did this situat...
Source: Drugs and Aging - January 23, 2017 Category: Geriatrics Source Type: research

Continued Use of Warfarin in Veterans with Atrial Fibrillation After Dementia Diagnosis
ConclusionDiscontinuing warfarin after a diagnosis of dementia is associated with a significant increase in stroke and mortality.
Source: Journal of the American Geriatrics Society - December 29, 2016 Category: Geriatrics Authors: Ariela R. Orkaby, Al Ozonoff, Joel I. Reisman, Donald R. Miller, Shibei Zhao, Adam J. Rose Tags: Clinical Investigations Source Type: research

Simple prediction scores predict good and devastating outcomes after stroke more accurately than physicians
Conclusion</div>the FSV and PLAN scores are validated in this population for outcome prediction after both ischaemic and haemorrhagic stroke. The FSV score is the least complex of all developed scores and can assist outcome prediction by physicians.</span>
Source: Age and Ageing - October 28, 2016 Category: Geriatrics Source Type: research

Important factors in predicting mortality outcome from stroke: findings from the Anglia Stroke Clinical Network Evaluation Study
Conclusions</div>there appears to be consistent and robust evidence of direct clinical benefit on mortality up to 1 year after acute stroke of higher numbers of trained nursing staff over and above that of other recognised mortality risk factors.</span>
Source: Age and Ageing - October 27, 2016 Category: Geriatrics Source Type: research

Risk Factors for In-Hospital Mortality among Ischemic Stroke Patients in Southern Taiwan
Conclusion Nearly 30% of in-hospital mortality is associated with preventable factors. The prognosis of acute stroke can be improved by increased focus on reducing serious complications after stroke, particularly on the prevention of infection, heart disease, and increased intracranial pressure.
Source: International Journal of Gerontology - June 7, 2016 Category: Geriatrics Source Type: research

Using an Atrial Fibrillation Decision Support Tool for Thromboprophylaxis in Atrial Fibrillation: Effect of Sex and Age
ConclusionPhysicians should understand that female sex is a significant risk factor for AF‐related stroke and incorporate this into decision‐making about thromboprophylaxis. Treating older adults with aspirin instead of OAT exposes them to significant risk of bleeding with little to no reduction in AF‐related stroke risk.
Source: Journal of the American Geriatrics Society - May 24, 2016 Category: Geriatrics Authors: Mark H. Eckman, Gregory Y.H. Lip, Ruth E. Wise, Barbara Speer, Megan Sullivan, Nita Walker, Brett Kissela, Matthew L. Flaherty, Dawn Kleindorfer, Peter Baker, Robert Ireton, Dave Hoskins, Brett M. Harnett, Carlos Aguilar, Anthony Leonard, Lora Arduser, Dy Tags: Clinical Investigations Source Type: research

Effects of oral anticoagulant therapy in older medical in-patients with atrial fibrillation: a prospective cohort observational study.
CONCLUSIONS: Among older vulnerable AF patients with high post discharge death rate, OAT was associated, among other multiple factors, with reduced mortality and lower occurrence of ischemic stroke. PMID: 27100358 [PubMed - as supplied by publisher]
Source: Aging Clinical and Experimental Research - April 20, 2016 Category: Geriatrics Authors: Bo M, Li Puma F, Badinella Martini M, Falcone Y, Iacovino M, Grisoglio E, Menditto E, Fonte G, Brunetti E, Isaia GC, D'Ascenzo F, Gaita F Tags: Aging Clin Exp Res Source Type: research

Controversies in antiplatelet therapy in the secondary prevention of stroke
Publication date: Available online 19 January 2016 Source:European Geriatric Medicine Author(s): T. Adamek Recurrence of stroke has been estimated at 3–4% yearly after TIA or stroke. There is no clear agreement in choosing antiplatelet therapy at this time. Europeans, Americans and British guidelines have been different. Aspirin is still used in secondary prevention of ischemic stroke, because of the longest experience with the best-achieved results in different studies and low price. Other used drugs are a combination of aspirin and dipyridamole, P2Y12 receptor antagonists – clopidogrel, ticlopidine, prasugrel an...
Source: European Geriatric Medicine - January 20, 2016 Category: Geriatrics Source Type: research

Efficacy and safety of apixaban compared with aspirin in the elderly: a subgroup analysis from the AVERROES trial
Conclusions: older patients with AF are at particularly high risk of stroke if given aspirin and have substantially greater relative and absolute benefits from apixaban compared with younger patients with no greater risk of haemorrhage. Clinical Trial Registration: ClinicalTrials.gov number: NCT00496769. URL: https://clinicaltrials.gov/ct2/show/NCT00496769.
Source: Age and Ageing - January 13, 2016 Category: Geriatrics Authors: Ng, K. H., Shestakovska, O., Connolly, S. J., Eikelboom, J. W., Avezum, A., Diaz, R., Lanas, F., Yusuf, S., Hart, R. G. Tags: Research Papers Source Type: research

How does age affect the care dependency risk one year after stroke? A study based on claims data from a German health insurance fund
Conclusions: Our results show that age has an effect on care dependency risk that cannot be explained by burden of disease. Thus, there must be other underlying age-dependent factors that account for the remaining age effects (e.g., social conditions). Further studies are needed to explore the causes of the strong age effects observed.
Source: BMC Geriatrics - October 23, 2015 Category: Geriatrics Authors: Susanne SchnitzerOlaf KnesebeckMartin KohlerDirk PeschkeAdelheid KuhlmeyLiane Schenk Source Type: research